CMS data snapshot: July 2026
Facility results compared with averages for CMS-certified nursing homes in Iowa. Ratings, staffing and turnover measure different parts of care and should be reviewed together.
Comparisons use the matching CMS state averages without a proprietary combined score. Review the comparison methodology.
A side-by-side view of the two CMS inspection cycles included in the current dataset.
Citation counts alone do not show severity. Review the inspection details below for scope, severity and correction status.
Cost data: Genworth/CareScout Cost of Care Survey (2024). Demographics: U.S. Census Bureau ACS (2022).
Swipe tabs for staffing, quality and ownership.
Accura Healthcare of Marshalltown is a 1-star Medicare and Medicaid certified nursing home in Marshalltown, Iowa with 84 certified beds. It has been operating since 2002. Its overall CMS rating is 1 out of 5.
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Ensure services provided by the nursing facility meet professional standards of quality.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Have a plan that describes the process for conducting QAPI and QAA activities.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Provide or get specialized rehabilitative services as required for a resident.
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Provide care and assistance to perform activities of daily living for any resident who is unable.
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Ensure services provided by the nursing facility meet professional standards of quality.
Employ staff that are licensed, certified, or registered in accordance with state laws.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
+ 12 more deficiencies
Staffing hours per resident per day. The black line shows the national average.
Quality measures as percentages of residents. Lower is better for all measures.
| Name | Role | Type | Ownership % | Since |
|---|---|---|---|---|
| ACCURA MIDWEST HEALTHCARE LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | Nov 1, 2017 |
| LENEAVE, THOMAS | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Individual | 30% | Nov 1, 2017 |
| CONNER, ROBERT | W-2 MANAGING EMPLOYEE | Individual | N/A | Jan 1, 2024 |
| ELLIOTT, COREY | W-2 MANAGING EMPLOYEE | Individual | N/A | Jan 1, 2023 |
| TOTI, LISA | W-2 MANAGING EMPLOYEE | Individual | N/A | Jan 1, 2020 |
| LENEAVE, TED | CORPORATE DIRECTOR | Individual | N/A | Nov 1, 2017 |
| LENEAVE, THOMAS | CORPORATE DIRECTOR | Individual | N/A | Nov 1, 2017 |
| TOTI, LISA | CORPORATE DIRECTOR | Individual | N/A | Jan 1, 2020 |
| LENEAVE, TED | CORPORATE OFFICER | Individual | N/A | Nov 1, 2017 |
| LENEAVE, THOMAS | CORPORATE OFFICER | Individual | N/A | Nov 1, 2017 |
| AMERICAN HEALTHCARE MANAGEMENT SERVICES LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | N/A | Nov 1, 2017 |
Compare CMS ratings and recorded fines for Accura Healthcare of Marshalltown and nearby alternatives.
Distance is approximate. Ratings and enforcement data use the current CMS snapshot; recorded fines are not a complete measure of care quality. How nearby facilities are selected.
This chain operates 43 facilities. View all →